How much rates vary
Facilitymedian $1,259 · 10th to 90th $68 to $3,548Professionalmedian $123 · 10th to 90th $55 to $316
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $39.81 Median $66.07 Typical High $67.61 | Facility | None | $39.81 | $66.07 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $67.61 Typical High $398.11 | Professional | None | $39.81 | $67.61 | $398.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,174.90 Median $2,754.23 Typical High $4,897.79 | Facility | None | $1,174.90 | $2,754.23 | $4,897.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $54.95 Median $141.25 Typical High $302.00 | Professional | None | $54.95 | $141.25 | $302.00 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $81.28 Median $208.93 Typical High $446.68 | Professional | 50 · Both sides | $81.28 | $208.93 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $186.21 Typical High $288.40 | Facility | None | $50.12 | $186.21 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $123.03 Typical High $281.84 | Professional | None | $72.44 | $123.03 | $281.84 |
DeanCare Setting Facility Modifier None Typical Low $44.67 Median $2,630.27 Typical High $5,128.61 | Facility | None | $44.67 | $2,630.27 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $74.13 Median $120.23 Typical High $181.97 | Professional | None | $74.13 | $120.23 | $181.97 |
DeanCare Setting Professional Modifier 50 · Both sides Typical Low $112.20 Median $181.97 Typical High $275.42 | Professional | 50 · Both sides | $112.20 | $181.97 | $275.42 |
Medica Setting Facility Modifier None Typical Low $104.71 Median $512.86 Typical High $1,737.80 | Facility | None | $104.71 | $512.86 | $1,737.80 |
Medica Setting Professional Modifier None Typical Low $72.44 Median $251.19 Typical High $501.19 | Professional | None | $72.44 | $251.19 | $501.19 |
Network Health Setting Facility Modifier None Typical Low $831.76 Median $933.25 Typical High $2,344.23 | Facility | None | $831.76 | $933.25 | $2,344.23 |
Network Health Setting Professional Modifier None Typical Low $85.11 Median $125.89 Typical High $181.97 | Professional | None | $85.11 | $125.89 | $181.97 |
Prevea360 Setting Facility Modifier None Typical Low $37.15 Median $63.10 Typical High $123.03 | Facility | None | $37.15 | $63.10 | $123.03 |
Quartz Setting Professional Modifier None Typical Low $87.10 Median $162.18 Typical High $263.03 | Professional | None | $87.10 | $162.18 | $263.03 |
Quartz Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $66.07 | Facility | None | $50.12 | $50.12 | $66.07 |
Quartz Setting Professional Modifier None Typical Low $72.44 Median $123.03 Typical High $147.91 | Professional | None | $72.44 | $123.03 | $147.91 |
Security Health Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $208.93 | Professional | None | $128.82 | $128.82 | $208.93 |
Security Health Setting Professional Modifier None Typical Low $128.82 Median $257.04 Typical High $436.52 | Professional | None | $128.82 | $257.04 | $436.52 |
The Alliance Setting Professional Modifier None Typical Low $138.04 Median $316.23 Typical High $426.58 | Professional | None | $138.04 | $316.23 | $426.58 |
United Setting Facility Modifier None Typical Low $218.78 Median $1,148.15 Typical High $1,862.09 | Facility | None | $218.78 | $1,148.15 | $1,862.09 |
United Setting Professional Modifier None Typical Low $47.86 Median $97.72 Typical High $269.15 | Professional | None | $47.86 | $97.72 | $269.15 |
9 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $19.95 Median $19.95 Typical High $33.88 | Facility | 52 · Reduced service | $19.95 | $19.95 | $33.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.94 Median $7.94 Typical High $13.49 | Facility | 53 · Discontinued | $7.94 | $7.94 | $13.49 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $6.03 Median $6.03 Typical High $10.23 | Facility | 55 · Aftercare only | $6.03 | $6.03 | $10.23 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $3.98 Median $3.98 Typical High $6.76 | Facility | 56 · Pre-op care only | $3.98 | $3.98 | $6.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.95 Median $33.88 Typical High $288.40 | Professional | 52 · Reduced service | $19.95 | $33.88 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $13.49 Typical High $114.82 | Professional | 53 · Discontinued | $7.94 | $13.49 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.03 Median $10.23 Typical High $87.10 | Professional | 55 · Aftercare only | $6.03 | $10.23 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.98 Median $6.76 Typical High $57.54 | Professional | 56 · Pre-op care only | $3.98 | $6.76 | $57.54 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $37.15 Median $60.26 Typical High $91.20 | Professional | 51 · Multiple procedures | $37.15 | $60.26 | $91.20 |
Where Wisconsin sits
The same service costs 4.0 times more in Alaska than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Wisconsin· 3rd of 51
$141
AK $195KY $48.98
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.